Management and Radiology - a guide to current and future management issues in radiology

2 MAY 2014

MANAGEMENT AND RADIOLOGY - A GUIDE TO CURRENT AND FUTURE MANAGEMENT ISSUES IN RADIOLOGY Venue: Stewart House, London CPD: 6 CREDITS

BIR Annual Congress 2014: 22-23 October, London

Welcome and thank you for coming to the ‘Management and radiology - a guide to current and future management issues in radiology’ event organised by the British Institute of Radiology.

This booklet contains the abstracts and biographies for each speaker (where supplied).

This meeting has been awarded 6 RCR category I CPD credits.

CPD certificates will be distributed by email within two weeks of the meeting once the online delegate survey has been completed.

Please complete the online delegate survey using the below link. We will use your valuable feedback to improve future conferences. https://www.surveymonkey.com/s/managementradiology We hope you find the day interesting and enjoyable.

Dr Jeevan Kumaradevan and Dr Sri Redla Meeting Organisers Clinical Imaging SIG, BIR

We are most grateful to

for supporting this conference

Programme

09:00 Registration and refreshments 09:30 Welcome

Dr Jeevan Kumaradevan, Consultant Radiologist, Whittington Health Session 1: Management of a radiology department in a hospital setting Chair: Dr Jeevan Kumaradevan, Consultant Radiologist, Whittington Health 09:40 My experience as a clinical lead, clinical director and medical director

Dr Colm Prendergast, Clinical Director, East and North Hertfordshire

Trust and Chairman, Management Committee for Radiology, UCLPartners 10:20 Project management from its conception to delivery

Dr David Grant, Chief Information Officer, Whittington Health and

Medical Director, Hospital of St John and St Elizabeth 11:00 Refreshments Session 2: New challenges in imaging Chair: Dr Jeevan Kumaradevan, Consultant Radiologist, Whittington Health 11:15 The implications of teleradiology and outsourcing and the role

of auditing performance

Dr Sarah Burnett, Consultant Radiologist, The Wellington Hospital 11:55 CCGs and primary care - 7 day a week imaging and beyond

Dr Caroline Allum, Medical Director, Hertfordshire Community NHS Trust 12:35 Lunch Chair: Dr Sri Redla, Consultant Radiologist and Clinical Director, Princess

Alexandra Hospital NHS Trust 13:30 Appraisal and revalidation - what does this mean for me?

Dr Caroline Allum, Medical Director, Hertfordshire Community NHS Trust 14:10 Leadership, management and policy: a trainee perspective

Dr Fiona Pathiraja, ST3 Radiology Trainee, University College London Hospitals

Dr Aniket Tavare, ST2 Radiology Trainee, The Royal Free Hospital

14:55 Refreshments 15:10 What does a director of operations and chief executive expect

from their radiologists and imaging department?

Kate Slemeck, Executive Director of Operations, Royal Free London

NHS Foundation Trust

David Sloman, Chief Executive, Royal Free London NHS Foundation Trust 15:50 Question and answer 16:00 Tips for your consultant interview - interactive panel discussion 16:45 Close of meeting

Please remember to complete the online delegate survey using the below link: https://www.surveymonkey.com/s/managementradiology Your certificate of attendance will be emailed to you within the next two weeks once these have been completed.

BIR Annual Congress 2014: 22-23 October, London

Speaker profiles (where supplied) Dr Caroline Allum Medical Director, Hertfordshire Community NHS Trust Caroline is Medical Director at Hertfordshire Community NHS Trust and Consultant Radiologist at the Whittington Hospital. She is passionate about delivering the best possible care for patients and about developing teams and the leaders of the future. She is committed to ensuring quality and responsiveness of services and excellent patient experience. Listed in 2013 as one of the Health Service Journal’s 50 most inspirational women leaders in health, she also reached the final of the HSJ Clinical Leadership awards in the category Clinical Leader 2012. She has been involved in significant transformation within her organisation and chaired pan-London benchmarking and procurement projects.

Dr Sarah Burnett, Consultant Radiologist, Wellington Hospital Sarah has been a Consultant Radiologist since 1993. Initially working at St Mary’s and the Royal National Orthopaedic, she then became Admissions Tutor at Imperial College. Leaving the NHS in 2001, she now works in independent practice only. Since late 2012 Sarah has been Clinical Lead for Quality at 4Ways Healthcare.

Dr David Grant Chief Information Officer, Whittington Health and Medical Director, Hospital of St John and Elizabeth David was appointed as Consultant Radiologist at the Whittington Hospital in 1988 and held the post of Director of Imaging between 1990 and 2004.

He became Director of Clinical Services in 1993 to 1997 and again in 2004 to 2008. He became Associate Medical Director in 2008 to 2011 and became Chief Information Officer in 2011 to current. David retired from his substantive NHS post in July 2013. Married with three children, his professional interests include PACS and teleradiology. He is a former member of the Pan London PACS Board from 2003 to 2005 and the National Clinical Reference Panel for Connecting for Health. David has provided leadership roles for the Trust introducing new concepts such as voice recognition technology, managed equipment services and the introduction of a collaborative interventional radiology service. He is the clinical lead in the current Electronic Patient record and RIS/PACS and vendor neutral archive (VNA) implementations at the Trust and has implemented a total of four RIS/PACS systems in both the NHS and private sectors. David continues to practise as a diagnostic radiologist and is Medical Director and Responsible Officer at the Hospital of St John and St Elizabeth (HSJE). HSJE is an independent private hospital in North London hosting and supporting a NHS hospice.

Dr Jeevan Kumaradevan Radiologist, Whittington Health Jeevan is a Consultant Radiologist at the Whittington Hospital, London, formally Radiology Lead. His main interests include uroradiology and intervention. He completed radiology training at the Royal Free Hopsital rotation in 2001, followed by a 1 year fellowship in Western Australia in 2002. He sat on NHS London advisory group for intervention in 2012.

Dr Fiona Pathiraja ST3 Radiology Trainee, University College London Hospitals Fiona is chair of the Junior Radiologists Forum at the Royal College of Radiologists.

She is a Specialist Registrar in London. Fiona spent two years at the Department of Health as Clinical Advisor to Sir Bruce Keogh (NHS Medical Director) and has also worked in the private sector as a Healthcare Management Consultant. These experiences have shaped her interest in leadership and management and confirmed her passion for involving junior doctors in quality improvement.

Dr Colm Prendergast Clinical Director, East and North Hertfordshire Trust and Chairman, Management Committee for Radiology, UCLPartners Colm was appointed Consultant Radiologist at North Hertfordshire NHS Trust in 1991. Since this appointment he has held a succession of clinical managerial roles.

These include Clinical Director, Divisional Chair and Medical Director. He has also had extensive experience in the development and organisation of training. He established a training rotation in radiology at the Lister Hospital initially with one trainee in 1995, there are now 6 SPRs and a clinical fellow post. He is Training Programme Director for radiology for UCLH and chair of the Training Programme Management Committee for Radiology for University College London Partnership (UCLP).

Dr Sri Redla Consultant Radiologist and Clinical Director, Princess Alexandra Hospital NHS Trust Sri trained in Hammersmith Hospitals, London, and obtained an FRCR in 1998.

He took up his Consultant post in Princess Alexandra Hospital, Harlow in November 2000. He was the College Tutor and a member of the East of England Radiology Training Committee between 2004 and 2007 and the Lead Radiologist at PAH, Harlow between 2007 and 2011. He is presently the Clinical Director for Cancer, Diagnostics and Pharmacy at the same hospital (since January 2012). He was part of the Clinical Imaging Committee of the BIR in 2008 to 2009 and took over as the Chair of the reconstituted Clinical Imaging Special Interest Group (SIG) in 2012.

Kate Slemeck Executive Director of Operations, Royal Free London, NHS Foundation Trust Kate has been the Executive Director of Operations at the Royal Free London since 2011. Prior to this she was the director of operations at the Whittington Hospital NHS Trust for five years and before this Deputy Director of Operations. Kate has over 20 years’ NHS management experience, mainly in acute trusts (including Northwick Park Hospital and the Royal Hospital for Neuro-disability).

She originally trained as an occupational therapist.

David Sloman Chief Executive, Royal Free London NHS Foundation Trust David Sloman has been Chief Executive at the Royal Free London since 2009.

During this time he has been successful in obtaining Foundation Trust status for the organisation and leading the trust towards acquisition of Barnet & Chase Farm Hospitals NHS Trust, planned for July 2014. David was formerly Chief Executive of the Whittington Hospital and before that he was Chief Executive of NHS Haringey.

He has spent his career in healthcare management, most of it in the NHS, although he worked for a number of years in the private healthcare sector. David is an executive member of UCLPartners, a board member of the north central and north east London LETBE, the chair of the north central and north east London CLRN Partnerships Board, a board member of Skills for Health, and the Chair of the London Leading for Health Reference Group.

Dr Aniket Tavare ST2 Radiology Trainee, The Royal Free Hospital Aniket read medicine at St John’s College, Oxford; graduating with a distinction.

During this time he conducted research into workforce planning and operating theatre management, introducing him to the broader aspects of healthcare delivery. He developed these interests by taking a year out of clinical practice prior to entering radiology, where he worked as a clinical fellow to Prof Sir Bruce Keogh (NHS Medical Director) and Dr Fiona Godlee (BMJ Editor in Chief). He is currently a Specialist Registrar on the Royal Free training scheme.

Abstracts (where supplied) Dr Colm Prendergast My experience as a clinical lead, clinical director and medical director In this talk I shall outline some of the challenges that face a modern radiology department and share strategies I have learnt from my clinical management experience to address them. I shall explore the role of the clinical director describing critical skills and the importance of managing key relationships. Some of the common problems that may be encountered in a medical management role will be described along with coping strategies. I shall explain the differences in working at different levels of medical management and how the lessons learnt may be applied to managing a department more successfully. I will review how the imaging team will need to adapt to the changing health care environment and the advantages to all members of the team in engaging in the process. I shall look at how the delivery of radiology training has changed and the role radiologists play not only as teachers and trainers, but also as role models. The lessons learnt on being a successful training department will be shared and how this may enrich the careers of those who work there.

Dr David Grant Project management from its conception to delivery The management of change is an inherent component of any project management initiative. The importance of planning, communication and team building are explored and the relevance of Prince 2 Methodology Project management is explained. The need for realistic design and evaluation of the business plan is the foundation stone of successful project design. The change in mind-set required for successful project implementation is an extremely important aspect of the process and one which needs to be addressed if failure is to be avoided. It is often of equal importance to the initiative itself.

An analysis of personality types is provided together with some suggestions for a successful implementation. The change process may be quite painful and requires perseverance, but the provision of adequate planning, training and support, can often overcome resistance to change.

The importance of communication and the identification of clinical need is emphasised. Techniques for bringing reluctant adopters on-side are discussed.

Educational aims: • Highlight the importance of the change process as an integral part of project management.

• Explain the key steps involved in project management.

• Describe the PRINCE 2 Methodology.

Learning outcomes: • Gain an insight into different personality types.

• Adopt strategies for dealing with difficult people.

• Understand the need for a business case, team building and ongoing review of any initiative.

Further reading: • http://www.prince2.com/what-is-prince2 • http://www.prince2.com/prince2-methodology • http://www.businessballs.com/changemanagement.htm Dr Sarah Burnett The implications of teleradiology and outsourcing and the role of auditing performance The talk will cover the following aspects: • • • • • • • • • • • •

Trends in Radiology outsourcing, and future predictions.

The political landscape regarding outcourcing.

Advantages and disadvantages of outsourcing.

The challenge of creating a ‘virtual department’.

The national requirement to audit.

The role of quality auditing in maintaining high standards.

Difficulties in categorisation.

Benefits of audit to the reporting radiologist.

A brief overview of the audit structure.

The importance of anonymity in the audit process.

Handling the underperforming radiologist.

The role of regular discrepancy meetings.

Dr Caroline Allum CCGs and primary Care - 7 day a week imaging and beyond The NHS is currently facing a massive financial challenge. The drive for increased access to services and pressure from patients, GPs and commissioners is huge.

I will cover some high level national issues in this presentation and also explore how we as radiologists can control the agenda by being pro-active with our commissioners. I will touch on the concept of Value Based healthcare and give examples of how benchmarking can help with the challenge and how important collaboration is between organisations. I will also address the quality agenda and how we can make best use of finances in the department.

Educational aims: An understanding of the context in which radiology departments currently operate and of how to influence the agenda pro-actively.

Learning outcomes: • Ability to assess where home departments could influence the agenda with CCGs. • Confidence to start a discussion with the departmental team.

Dr Caroline Allum Appraisal and revalidation: what does this mean for me?

Since the start of revalidation in December 2012 more than 25,000 doctors have been revalidated. I will explore the reasons behind revalidation, how the revalidation process works and the aim of enhanced appraisal with good medical practice at its core.

Educational aims: Understanding of the appraisal and revalidation system.

Learning outcomes: • Application of knowledge obtained to personal appraisals.

• Articulate the reasons behind revalidation.

Dr Fiona Pathiraja and Dr Aniket Tavare Leadership, management and policy: a trainee perspective This session will outline the changing healthcare landscape and provide an insight into health policy development from two registrars who have worked at the heart of government as clinical advisors to Sir Bruce Keogh. The session will also examine the opportunities and challenges of involving junior doctors in quality improvement and address the policy levers required to support grassroots leadership within radiology.

Learning outcomes: • An appreciation of current policy directions and the influence on practice in the NHS. • A discussion of key policy documents.

Please remember to complete the online delegate survey using the below link: https://www.surveymonkey.com/s/managementradiology Your certificate of attendance will be emailed to you within the next two weeks once these have been completed.

BIR Annual Congress 2014: 22-23 October, London

Our platinum sponsors

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FORTHCOMING EVENTS RADIOTHERAPY - MEETING THE CURRENT AND FUTURE WORKFORCE CHALLENGES FOR PATIENT CARE IN A CHANGING CONTEXT 19 MAY 2014 LONDON MOLECULAR RADIOTHERAPY DOSIMETRY 4 JUNE 2014 OXFORD WESSEX BRANCH SUMMER MEETING 13 JUNE 2014 WINCHESTER OPTIMISATION IN CT 18 JUNE EDINBURGH EAST OF ENGLAND BRANCH MEETING: ONCOLOGY HOT TOPICS 5 JULY 2014 CAMBRIDGE IRMER UPDATE 29 SEPTEMBER 2014 LONDON DIAGNOSTIC RADIOLOGY FOR ADVANCED HEAD AND NECK CANCER PLANNING 2 OCTOBER 2014 LONDON MIDLAND BRANCH LAUNCH EVENT: MILITARY TRAUMA IMAGING 9 OCTOBER 2014 BIRMINGHAM OPTIMISATION IN INTERVENTIONAL RADIOLOGY 10 OCTOBER 2014 BIRMINGHAM LINKING ORTHOPAEDICS AND RADIOLOGY II - THE PLAIN FILM REVISITED: THE UPPER LIMB 16 OCTOBER 2014 LONDON

BIR Annual Congress 2014: 22-23 October, London VISIT: WWW.BIR.ORG.UK FOR MORE INFORMATION AND TO REGISTER!

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